| NPI | 1407095987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO CRUZ President 818-307-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA 0002408540-0001-3) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-05-10 |