| NPI | 1336445782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA KITAMURA Social Worker 310-739-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 27032) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2012-09-19 |