| NPI | 1962629162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA SCHLICHTER Medical Director 310-521-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A7368) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |