| NPI | 1386998912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA GOMEZ LOPEZ Clinical Director 323-313-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 1118815) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |