| NPI | 1184966210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERIBETH DAWN HART Nurse Practioner 310-794-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 655119) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 655119) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |