| NPI | 1851707806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SOHN Clinical Director 323-293-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |