| NPI | 1720131790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS S FISHMAN President 310-278-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G11061) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-08-22 |