| NPI | 1790150209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BARNES CEO 310-309-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 550002046) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |