| NPI | 1881870871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN MAUNG CEO 310-984-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 2880612) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2014-09-18 |