| NPI | 1942616172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGINA BACHOURA CEO/President 323-630-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA np21860) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |