NPI | 1215274592 |
---|---|
Other Name | LAC/USC |
Entity Type | Organization |
Authorized Contact | AVA D. BATTLE Spa 323-846-4103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA PA12601) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA PA12601) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |