| NPI | 1790211332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMMER WHITE Member 213-321-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 53716) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |