| NPI | 1114358249 |
|---|---|
| Doing Business As | SHRINERS FOR CHILDREN PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOU LAZATIN Administrator 213-388-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2017-02-01 |