| NPI | 1134317472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIONETTE EPPS Administrator 310-668-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA PHE14221) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |