NPI | 1992194310 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY A WOOL-SMITH Manager 310-553-5203 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-01-22 |
Last Update Date | 2017-01-19 |