| NPI | 1992884571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILAS J THOMAS President 310-776-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G35214) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2016-08-04 |