| NPI | 1972628568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX SCOTT LIEBERENZ Sr.VP/CFO 323-361-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA RPS# 2006103) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-10-21 |