NPI | 1861949968 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JAMES HUNT President 310-626-4831 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G82031) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |