| 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 |