| NPI | 1639544505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ROBINSON Chief Medical Officer 323-730-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A064054) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |