| NPI | 1144733825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN MICHAEL BOYER CEO 323-459-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A111784) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-06-16 |