| NPI | 1396972238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS OCTAVIO AMADOR Independant Duty Medical Technician 310-856-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |