| NPI | 1013206168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER EARL QUINNEY Owner/ CEO 323-296-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA LCS16707) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2012-06-15 |