| NPI | 1073669040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI BONNER President CEO 626-794-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: CA 960000134) |
| 291U00000X Clinical Medical Laboratory (Licence: CA 960000134) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-02-11 |