| NPI | 1003952037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY DILLER Owner 323-217-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center Corporate Health (Licence: CA 191571590) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-07-16 |