| NPI | 1013376698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE WASHINGTON President 818-419-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A72336) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |