| NPI | 1659379634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEZIA OGUGUA AZINGE President/CEO 323-290-2832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A53449) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-06 |