| NPI | 1316276371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA TRISTAN ALBAY CEO/President Of Corporation 310-480-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A94980) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2015-09-03 |