| NPI | 1821327867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBERE HENRIETTA ANAKWENZ Manager 310-383-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G50607) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |