| NPI | 1558470203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUSIDEEN ENIGBOKAN Registered Nurse 213-253-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |