| NPI | 1023465317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ELIZABETH WILSON FRIEDMAN COO 310-779-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: CA 95001868) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |