NPI | 1710497268 |
---|---|
Entity Type | Organization |
Authorized Contact | ENRICO J DIRIENZO Medical Director 310-473-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G134479) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |