| NPI | 1609117837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A LIVINGSTON Nurse Practitioner 310-825-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA RN428790) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |