| NPI | 1336498948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SILVER Director 310-385-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G55448) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |