| NPI | 1972560563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRANFORD LAVERN SCOTT President / Medical Director 310-673-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C32142) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |