NPI | 1760503569 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY NAVA Accounting Manager 310-203-8899 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 960000179) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2014-06-25 |