NPI | 1255511242 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE HARRY MATT President 310-451-4779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A43801) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2015-07-23 |