NPI | 1174702377 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY IAN GROSSER President 818-929-2259 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A67128) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2022-09-04 |