| 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 |