| NPI | 1861673527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WALSH Finance 323-860-5348 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960001127) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |