| NPI | 1609132877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GREGORY PICK Owner 310-659-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA DC11018) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |