| NPI | 1235686791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RIEDEL Director Of Clinical Operations 818-348-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-04-14 |