| NPI | 1982470274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND S DOUGLAS President 310-657-4302 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |