| NPI | 1992028591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA BROYTMAN Office Manager 323-650-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A47756) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-07-02 |