| NPI | 1033271176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN CATHERINE MORREALE Administrator 818-718-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000672) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |