| NPI | 1144499633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WEISE Medical Director 818-956-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930001003) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2018-10-17 |