| NPI | 1053461624 |
|---|---|
| Other Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | CHARLES K NEAL Chief Executive Officer 818-205-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 05C0001362) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |