| NPI | 1053437871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES K. YOUNG Nurse Practitioner 626-429-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 15179) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |