| NPI | 1962044479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BAERWALD Director 310-922-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2021-11-23 |