| NPI | 1245671528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN RODGERS Executive Director 310-678-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 133N00000X Nutritionist | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 164X00000X Licensed Vocational Nurse | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |