| NPI | 1760704035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT A MCCLAIN Office Manager 310-537-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A63000) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |