NPI | 1982152815 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN RICHARDSON CEO 323-546-9631 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |