| NPI | 1356543656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE GAMPEL Manager 818-355-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 05D1059354) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-04-01 |