| NPI | 1851847982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VELOZ Chief Executive Officer 323-908-4247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHY 53347) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 53347) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2017-02-15 |