| NPI | 1760868418 |
|---|---|
| Doing Business As | WEST GARDENA COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALICE BLACI President 310-436-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20AA5193) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA12545) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |