| NPI | 1922216647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ADRIAN RUIZ CEO, CFO 323-359-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A44599) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA C41437) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |