| NPI | 1295718187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE HONIG MOJICA CFO 323-860-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA 960001127) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-03-06 |