| NPI | 1093037558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D BINGHAM Owner 323-564-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 034818) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |