| NPI | 1144479304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH REDCROSS CEO/President 818-633-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A 75194) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |