NPI | 1518326958 |
---|---|
Entity Type | Organization |
Authorized Contact | VIOLETTA V MAILYAN CEO 818-568-8596 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A13859) |
Enumeration Date | 2016-02-13 |
Last Update Date | 2016-02-13 |