NPI | 1154200475 |
---|---|
Entity Type | Organization |
Authorized Contact | CAITLIN ROSE BOTHWELL CEO 310-633-1907 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 133V00000X Dietitian, Registered |
174N00000X Lactation Consultant, Non-RN | |
225100000X Physical Therapist | |
Enumeration Date | 2025-08-29 |
Last Update Date | 2025-08-29 |