NPI | 1669627808 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE LEIGH WATIKER CEO 310-360-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A83345) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2013-01-31 |