| NPI | 1861945115 |
|---|---|
| Other Name | HOMG-SEPULVEDA |
| Entity Type | Organization |
| Authorized Contact | HOWARD G BERGER President 310-445-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2017-01-19 |