| NPI | 1902342496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRON KENNETH HAKHAMIMI Medical Director 323-697-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |