| NPI | 1457449498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTO ROJAS President 310-391-7143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A41262) |
| Additional Taxonomies | 261QE0800X (Licence: CA A41262) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-01-30 |