| NPI | 1629424866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S RIEDEL Director Of Clinical Operations 818-348-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |