| NPI | 1255095840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY SIMON CEO 323-638-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2024-03-04 |