| NPI | 1831393172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA RAD Director 310-289-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA A48101) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |