| NPI | 1396310264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA G SANTIBANEZ Chief Executive Officer 310-993-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |