| NPI | 1932686748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D BOWLES Director 323-289-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4113) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-02-14 |