| NPI | 1447621107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA J. BUENROSTRO CEO/President 323-240-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: CA 894639) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |