| NPI | 1700313004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEL QUESADA Medical Director 323-676-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 208D00000X General Practice | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |