| NPI | 1720453574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM GHALILI Owner 213-749-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a88734) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-09-21 |