| NPI | 1467503169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NORK President 310-652-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G6627) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA D029768) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |