| NPI | 1376783860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURA VIOLETA GARCIA Owner 310-679-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 8774) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |