| NPI | 1023275542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DONAHUE President 310-204-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A35973) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |