NPI | 1386024115 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MARSTEN Director 323-936-3965 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA LCS15899) |
Additional Taxonomies | 251S00000X (Licence: CA 52614) |
Enumeration Date | 2015-06-07 |
Last Update Date | 2015-06-07 |