| NPI | 1255634135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LIVEZEY President Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A9621) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |