| NPI | 1104299833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM ELIAS President 818-789-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA A113977) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |