| NPI | 1093939068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KYNARD Owner 213-479-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA 363176) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-11-17 |