| NPI | 1144661653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADIE ALKHOURI Owner/President/CEO 626-335-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA C51885) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2016-07-14 |