| NPI | 1336681568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY RENEE ROUSE-HO Physician 818-378-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 99075594A) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |