| NPI | 1326401985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX EDWIN EVEREST Chief Financial Officer 818-849-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA G42307) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-04-10 |