| NPI | 1982904892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA V BOOTH President 310-374-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA FNP40648) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |