| NPI | 1760698740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI M. HANNAH Owner 323-238-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-04-03 |