| 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 |