| NPI | 1922390996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA ZABOKRITSKAYA President 310-940-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 681341) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 681341) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |