| NPI | 1891039228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A OKONKWOAGUOLU Medical Director 310-490-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA FNP39403) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |