GRACEFUL SENESCENCE

NPI # 

Practice Address:

120 W El Segundo Blvd

Los Angeles, CA, 90061-1628

Practice Phone:

310-538-5808

Practice Fax:

310-538-5406

License Number:

060000630

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X