NPI | 1316922040 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN K WALDVOGEL Pres,Board Of Managers,Med Director 626-535-2434 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000433) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2020-08-22 |