| NPI | 1760837538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLA AZAR Owner 323-661-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 3886023) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |