| NPI | 1427221985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN F X CLAIR Owner 310-458-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA G51360) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2010-04-20 |