| NPI | 1295038396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIE M ROSADO President 818-890-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |