| NPI | 1194999318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANDIN KUMURYAN Owner 818-988-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2015-06-17 |