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