| NPI | 1295070399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSAM Y ANTOIN Owner/Medical Director 818-846-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2013-09-12 |