| NPI | 1225477672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOBUS VAN DER COLFF Chief Financial Officer 213-785-5923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 960001182) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |