| NPI | 1760801716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO ANGELES BRIONES Owner/Physician 323-461-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A39376) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |