| NPI | 1073798286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLAENA L BEANE Collections Manager 310-825-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G68613) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |