| NPI | 1174576607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BRIZUELA Administrative Associate/Biller 310-575-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |