| NPI | 1790036549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SOHN Clinical Director 323-293-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-06-17 |