| NPI | 1013265214 |
|---|---|
| Other Name | LA PROCEDURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDALL G SHUE President 323-268-3491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20a5142) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |