| NPI | 1629768361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOIEMHIL JEMICCA OCARIZA Manager 310-938-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |