| NPI | 1316197981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAMUEL SILVER Chief Medical Officer 310-943-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G73514) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2015-02-16 |