| NPI | 1902186943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJANA S SURA Owner 323-726-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A30390) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2016-03-03 |