| NPI | 1891811170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN S CLARK President CEO 310-412-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000228) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-07-15 |