| NPI | 1457591315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE BARRIOS Office Administrator 818-986-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G076079) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |