| NPI | 1053368530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS GARCIA Business Accounts Manager 213-637-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-12-23 |