NPI | 1407426604 |
---|---|
Entity Type | Organization |
Authorized Contact | CHET THARPE President/CEO 310-807-1372 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 207R00000X Internal Medicine |
261Q00000X Clinic/Center | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2021-06-29 |
Last Update Date | 2023-09-06 |