| NPI | 1801214853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MOALLEMI President 323-796-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2022-02-01 |