| NPI | 1952533606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOUAD I GHALY CEO / Medical Director 310-540-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C39588) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |