| NPI | 1003662966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S. DAVIDSON Administrator 310-212-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332U00000X Home Delivered Meals | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |