| 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 |