| NPI | 1841500253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAGRACIA A RODRIGUEZ Office Manager 323-726-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A33652) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA A33652) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2015-02-27 |