| NPI | 1932445921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOTILDE S JOSE CEO 310-559-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A24688) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |