| NPI | 1366715849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VALENCIA Residency Program Administrator 323-783-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |