| NPI | 1831279884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SHARP Administrator 323-464-1336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-06-25 |