| NPI | 1710388103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN NATHANIEL KENDRICK Physician 626-623-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA C56176) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-08-23 |