| NPI | 1568591493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B VAN SCOY-MOSHER Partner 310-659-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G22248) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-10-18 |