| NPI | 1972081412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHRA CHO President 213-529-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-04-02 |