| NPI | 1821344227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEE SVP And Chief Clinical Officer 323-361-2476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-08-06 |