| NPI | 1205412244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMEO V HERRERA Chief Operating Officer 310-407-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2021-03-21 |