NPI | 1780870543 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCINE HAWKINS Practice Administrator 213-484-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G78245) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2007-09-14 |