| 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 |