| NPI | 1972146843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED LUIS CISNEROS Medical Director 323-968-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-11-09 |