| NPI | 1760664411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH L AGRE President 310-276-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA C24838) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |