| NPI | 1720055429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ROTENBERG Medical Director 323-589-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-02-28 |