| NPI | 1700176963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA DARDASHTI President 818-528-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |