| NPI | 1740666163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL E HAYES Owner 310-467-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G66485) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |