| NPI | 1871552653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M COOK CEO 213-977-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000031) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 960000031) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2010-02-17 |