| NPI | 1821726969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHET THARPE Owner 310-697-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-02-06 |