NPI | 1497630321 |
---|---|
Doing Business As | CAC COASTAL STAR CSU |
Entity Type | Organization |
Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2025-08-08 |
Last Update Date | 2025-09-04 |