NPI | 1417051533 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT EDMUND WYCOFF Administrator 626-577-3415 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000938) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2008-08-28 |