| NPI | 1336247642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NICKOWITZ President/Medical Director 626-793-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X (Licence: CA 930000974) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-03-11 |