| NPI | 1487869558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS BERNHARD Owner 626-584-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 20A4471) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |