| NPI | 1396542817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM WALLACE Sr. Director Finance Operations 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |