| NPI | 1730372038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDOULAYE DIOP Medical Doctor 323-588-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A33986) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA NMW1068) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA G42217) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA PA12322) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |