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 | 2024-07-24 |