| NPI | 1689694309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ALCANTAR President 310-829-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF1884) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |