| NPI | 1366189938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ZAGELBAUM Owner 310-473-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-06-14 |