| NPI | 1457611014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SIFUENTES ORTIZ CFO, Owner 323-216-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A41270) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |