| NPI | 1285131755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB EDEM Administrator 310-412-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA G45490) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |