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 |