| NPI | 1578079919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN SUMMERS President/CEO 310-679-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 550003493) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |