| NPI | 1356810675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT CHILTON Chief Operating Officer 818-858-1082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QG0250X Clinic/Center, Genetics |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |