NPI | 1184314171 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN M MULLEN Secretary 310-363-8757 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-05-11 |
Last Update Date | 2023-05-11 |