| NPI | 1225178379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LAVAL Health Programs COO Rdinator 626-795-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 6168826) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |