| NPI | 1063245785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHONG Chief Medical Officer 818-855-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-11-05 |