| NPI | 1326357922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SONG Executive Vice President 213-736-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA OPT9019TPA) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |