NPI | 1730265828 |
---|---|
Doing Business As | LOS HERMANOS MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | WINDGROVE DAVID DANIEL Medical Director/ President 323-583-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A41152) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |