COUNTY OF LOS ANGELES AUDITOR CONTROLLER

NPI # 

Practice Address:

12021 Wilmington Ave

Los Angeles, CA, 90059-3019

Practice Phone:

310-668-4501

Practice Fax:

310-763-8909

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X