| NPI | 1720148703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ERIC ALEXANDER Doctor 310-316-1764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A44796) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-03-30 |