| NPI | 1477803450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX SCOTT LIEBERENZ Sr.VP/CFO 323-361-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20A11202) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2021-10-21 |