| NPI | 1104153931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBHA M JAIN Medical Director/Owner 818-366-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2012-01-26 |