| NPI | 1659675072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITHA BHARADIA Owner 310-529-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA A62539) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2012-01-03 |