NPI | 1922258029 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL SETORNYO GALLEY Physician, CEO 323-750-6959 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G52589) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2008-09-25 |