| NPI | 1639210149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELAIDE LERI RANDAK President 818-884-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G41364) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-10-15 |