| NPI | 1669342796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MCCLINTON Manager, Vbc Enablement,Mso/Tpa Ops 213-414-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2026-09-03 |