NPI | 1932560174 |
---|---|
Doing Business As | KEDREN BH AVALON |
Entity Type | Organization |
Authorized Contact | EARLE CHARLES Chief Information Officer 323-432-5093 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2016-03-16 |
Last Update Date | 2018-10-02 |