| NPI | 1639391410 |
|---|---|
| Other Name | SSG/BACUP LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | HERBERT HATANAKA Executive Director 213-553-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-02-17 |