| NPI | 1174601058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LYNN KENNEDY Nurse Practitioner 310-478-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 482522) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |