| NPI | 1568507978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNETTE ORR Accounting Manager 323-730-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 960001020) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |