| NPI | 1063160059 |
|---|---|
| Other Name | SSG APCTC WEST COVINA |
| Entity Type | Organization |
| Authorized Contact | HERBERT K HATANAKA Executive Director 213-553-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |