| NPI | 1588986459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZUE SHIBATA Chief Executive Officer 323-644-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 550001203) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2013-01-14 |