NPI | 1700577822 |
---|---|
Entity Type | Organization |
Authorized Contact | BEHNOOSH RAHAVARD CEO, CFO, & Secretary 818-995-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2023-05-18 |
Last Update Date | 2023-05-18 |