| NPI | 1043867971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIKO ELBY Rehabilitation COO Rdinator 310-506-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |