| NPI | 1306447446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EARNEST ROGERS Medical Director 818-986-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |