| NPI | 1275974420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM LESTER Vice President 310-230-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 190700AN) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |