| NPI | 1770604779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT MARSHAK M.D. 323-268-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A29118) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-14 |