| NPI | 1851684336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JNATHAN GRANT President 310-659-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A24260) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |