| NPI | 1932407988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENITH PARESA Treating Physician 323-424-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA A66233) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |