| NPI | 1972167070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARYD STEIN Owner/Chief Executive Director 213-392-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-07-12 |