NPI | 1043404486 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD ALAN LUBICK Doctor/President 818-848-5591 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: CA 28035) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |