| NPI | 1093156937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENESA JAMI ANGULO Executive Director 818-637-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |