| NPI | 1841974862 |
|---|---|
| Doing Business As | WHITE OLIVE DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SHUKHMAN Owner 310-650-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |