| NPI | 1144490996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ADRIAN RUIZ CEO, CFO, Medical Director 323-359-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A44599) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-27 |