| NPI | 1851095319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN THOMAS ROSELAND CEO Solo Provider 323-237-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |