| 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 |