| NPI | 1952707689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M GROVES Billing De PT Manager 323-234-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G34954) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |