| NPI | 1447549530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MARIE BONILLA President 323-570-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A69281) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2023-12-26 |