| NPI | 1144050097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PARK Health Service Administrator 213-485-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |