| NPI | 1720617707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER BOGNER Director 310-569-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-05-08 |