| NPI | 1306447941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CASSILETH President 310-278-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-03 |