| NPI | 1386449049 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RYAN BEATTY CEO/Owner 310-877-0127 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2025-02-17 | 
| Last Update Date | 2025-02-17 |