| NPI | 1376365395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHAD MALEKMEHR Medical Director 818-908-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |