| NPI | 1053602250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CARNOW Biller 626-449-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G52632) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |