| NPI | 1861894818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE YOUDIM Owner 310-461-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA A86625) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |