| NPI | 1942756937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED ONOH Office Manager 323-531-0915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA NP14622) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A118311) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |