| NPI | 1184044240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIENNE LEE CEO 323-583-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 47111) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |