NPI | 1013372242 |
---|---|
Entity Type | Organization |
Authorized Contact | SHONDA CHASE Owner 310-375-7599 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 95003531) |
Enumeration Date | 2015-12-14 |
Last Update Date | 2015-12-14 |