| NPI | 1972300218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE ANN ASHAMALLA Executive Director 323-816-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |