| NPI | 1437589769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL AYBAR Director 323-664-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA G81088) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA G81088) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |