| NPI | 1952327397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY AZUBIKE OKONKWO AGUOLU Medical Director 323-753-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A29427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A29427) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A29427) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |