| NPI | 1952981144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J BATES CEO 310-658-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-02-17 |