| NPI | 1578956249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG KAIZO NISHI President 310-858-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A75418) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |