| NPI | 1568918712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI FUNK President 310-273-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| 2471M2300X Radiologic Technologist Mammography | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |