NPI | 1780729087 |
---|---|
Entity Type | Organization |
Authorized Contact | FELIX THOMAS ALUGBUE Executive Director 310-603-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 190446AN) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |