| NPI | 1114774262 |
|---|---|
| Doing Business As | LIFELINE WALK IN MEDICAL AND MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANULIKA CHILAKA Family Nurse Practitioner 310-686-2347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |