| NPI | 1073642682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZUE SHIBATA Chief Executive Officer 323-644-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA G66101) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |