| NPI | 1083732721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GEORGE GLICK President 818-784-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G53604) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |