NPI | 1720580962 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELA DILLMAN Np 310-927-6484 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363L00000X Nurse Practitioner (Licence: CA 23693) | |
Enumeration Date | 2018-03-04 |
Last Update Date | 2020-01-20 |