| NPI | 1033529250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MACIAS Practice Manager 310-225-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA A22315) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: CA A22315) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |