NPI | 1538530225 |
---|---|
Doing Business As | JWCH (ST GEORGE HOTEL) |
Entity Type | Organization |
Authorized Contact | ALVARO BALLESTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2015-10-07 |
Last Update Date | 2016-11-02 |