| NPI | 1811307622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY UYEDA Medical Director 213-241-0558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 152W00000X Optometrist |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |