| NPI | 1720853237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SAMVALIAN Administrator 818-243-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |