NPI | 1164197943 |
---|---|
Doing Business As | 713 LOVES |
Entity Type | Organization |
Authorized Contact | MICHAEL JACKSON Director 310-350-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-08-12 |
Last Update Date | 2021-08-25 |