| NPI | 1245506112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY J WURMSDOBLER Owner 626-445-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA DC20045) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-04-09 |