| NPI | 1447591003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MCLEOD Doctor 323-810-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 402) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |