| NPI | 1881947935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID SIPORIN President 310-479-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G70646) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2013-01-10 |