| NPI | 1871091637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J ROHR Director Of Health Services 310-914-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |