| 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 |