| NPI | 1619368248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PAUL RUBIN Administrator 818-415-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |