| NPI | 1659517654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN DEKERNION Chair 310-301-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 284300000X Special Hospital (Licence: CA F5519) |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2008-12-21 |