| NPI | 1467858894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA DIANE ABBY Office Manager 310-639-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A42863) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |