NPI | 1023293008 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENN SILCOTT Administrator 818-409-3575 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA To be applied for) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-01-08 |