| NPI | 1619362324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER NOCHE Owner 213-290-8798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 12896) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |