| NPI | 1811146046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT D CALLIS President/Owner 323-667-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C24147) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |