NPI | 1316110885 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA BERBERYAN Counselor 818-551-0026 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 197331) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2008-04-07 |