| NPI | 1487252276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS TRIPOLSKI Chairman, Governing 818-821-3318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-05-10 |