| NPI | 1396823522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE GROSS Director 310-320-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000663) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |