| NPI | 1720184302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL F JACOBSEN President 310-657-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A85541) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-09-20 |