| NPI | 1932511383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL O'CONNOR President 310-994-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA OPT6766TG) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |