| NPI | 1538540703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL CANABAL President 310-462-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA AC12605) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |