| NPI | 1003951708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE AGUINALDO Youth Services Manager 323-644-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |