| NPI | 1255948311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BOONE Executive Director 818-818-3591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2022-07-21 |