| NPI | 1730936402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA HABEEB Owner 310-619-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |