| NPI | 1902568330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADMAN CHOWDHURY Practice Development Specialist 213-235-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |