| NPI | 1598740177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE HONIG MOJICA CFO 323-860-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA 960001164) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-03-06 |