| NPI | 1093144172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ SAEDIFAR Owner 818-956-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 500283) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |