| NPI | 1104468008 |
|---|---|
| Doing Business As | BLUEDOOR |
| Entity Type | Organization |
| Authorized Contact | MONTGOMERY COLEMAN Secretary 310-804-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2020-05-15 |