| NPI | 1396470043 |
|---|---|
| Other Name | VALLEY STAR LAC-USC CRTP |
| Entity Type | Organization |
| Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |