| NPI | 1730454737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MICHAEL MINEHART Medical Director 818-784-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |