NPI | 1619307451 |
---|---|
Entity Type | Organization |
Authorized Contact | SPARKY GREENE CEO 310-344-5558 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QC1800X Clinic/Center, Corporate Health | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2013-11-14 |
Last Update Date | 2013-11-14 |