| NPI | 1770759441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECSANDRA ROBERTS Owner 310-372-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A55918) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G47706) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |