| NPI | 1437483419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE ELYSE REID Medical Director 323-874-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A100360) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |