| NPI | 1609996909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA YEPES D.D.S. 818-242-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 42453) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |