| NPI | 1447592779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONZA THYMES Supervising Physician 323-848-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: CA 22876) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |