| NPI | 1215668546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIM MORADIAN Chairman, Governing Body 818-338-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-07-26 |