| NPI | 1164779781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE T. ZAGHA Owner 818-907-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A34602) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |