| NPI | 1992840680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVID D TAVARI CEO 310-696-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA 20A6273) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine (Licence: CA 20A6273) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-10-11 |