NPI | 1780050278 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG SMITH CEO 323-307-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA 61164) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 61164) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |