| NPI | 1124278940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GANSERT KARL GANSERT Owner 626-852-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA DC25567) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |