NPI | 1467886549 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA ALEXANDER JACOBI President 626-716-9206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA CA55905) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2015-01-29 |