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 |