| NPI | 1043719206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GUANCHE M.D./ Orthopedic Surgeon 818-901-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |