| NPI | 1528162229 |
|---|---|
| Doing Business As | COUNTY OF LOS ANGELES -RANCHO LOS AMIGOS |
| Entity Type | Organization |
| Authorized Contact | MINDY AISEN Medical Director 562-803-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-04-14 |