| NPI | 1851661300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY LIEHENG WONG Clinical Pharmacist 310-206-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 64122) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |