| NPI | 1760728521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYINDA AKENZUA Medical Director 310-417-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A062206) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |