| NPI | 1245659929 |
|---|---|
| Other Name | NDVETS SEPULVEDA |
| Entity Type | Organization |
| Authorized Contact | GREGORY C. SCOTT President & CEO 310-914-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-12-07 |