| NPI | 1336493121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNE DAWSON Health Care Provider 323-343-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA PA11108) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |