| NPI | 1093009151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK A CARLSTON Nurse Practitioner 323-442-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA NP20259) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |