| NPI | 1376344093 |
|---|---|
| Doing Business As | THE A-LIST CLINIC |
| Entity Type | Organization |
| Authorized Contact | CZARINA ENRIQUEZ Owner 310-904-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |