| NPI | 1508391293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN B KING President 310-462-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A89447) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |