| NPI | 1720386105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A RUBIN Physician 310-970-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A41009) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |