| NPI | 1093025355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIN DEVASKAR Interim Executive Chair 310-825-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19341) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 677319) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |