| NPI | 1114232691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID EDWARDS President 310-828-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A26085) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-11-17 |