| NPI | 1346809290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE VALENTINO BAILEY Director Of Human Performance 310-367-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QC1500X Clinic/Center Community Health | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |