| NPI | 1740099811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SPARKS Owner 310-956-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 209800000X Legal Medicine |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |