| 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 |