| NPI | 1487133989 |
|---|---|
| Doing Business As | LIFE CONNECTION HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MIGUEL REYES Q/A Contract & Compliance Manager 310-820-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2022-06-27 |