| NPI | 1780139691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILE GEORGE SHENOUDA President 323-566-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A56273) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A56273) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |