| NPI | 1528401692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POE NAYGYI Licensed Practical Nurse 818-445-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 3138731) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-11 |