| NPI | 1942915822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M YOUSSEF CEO 310-434-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Y00000X Otolaryngology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |