| NPI | 1346796729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE BEDDARD THORBURN Business Owner 818-841-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC12296) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2017-03-24 |