| NPI | 1992375133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MOORE CEO 310-403-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-07-20 |