| NPI | 1912443490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRON KENNETH HAKHAMIMI Medical Director 323-697-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |