| NPI | 1508278359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNT AREVIAN CEO 310-627-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 550002986) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QD0000X Clinic/Center Dental | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2025-01-29 |