NPI | 1821642059 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSE N EKEJIUBA Owner 310-722-5146 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
208D00000X General Practice | |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-08-14 |