| NPI | 1962797738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEONARD GOFF President 323-664-4044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C30424) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA C30424) |
| 207P00000X Emergency Medicine (Licence: CA C30424) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-07-15 |