NPI | 1386343580 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND DOUGLAS President 310-363-8757 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-05-11 |