| NPI | 1497195440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGUED R FADLY Owner 818-225-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA A64236) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |