| NPI | 1811387723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DIVINSKY Owner 213-864-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA NP15115) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2023-03-28 |