| 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 |