| NPI | 1407725476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VUK JOVANOVIC Medical Director 323-525-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |