| NPI | 1639562820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORD SARINO Pharmacy Clinical Coordinator 310-884-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 50440) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |