| NPI | 1780179770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SANGMOAH CEO/President 323-200-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-12-17 |