NPI | 1235131277 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE GOFF Administrator 818-442-9080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000966) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-08-22 |