| NPI | 1053719757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE OGANYAN COO 626-791-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 00G518830) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-12 |