| NPI | 1962949925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE P CALIXTE RN 323-826-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MA RN258924) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |