| NPI | 1104219609 |
|---|---|
| Former Legal Business Name | TOTAL CARE MEDICAL CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | BLANCA VASQUEZ Administrator 323-756-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |