| NPI | 1235636044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB EDEM Administrator 213-718-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A121076) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |