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 |