NPI | 1740447044 |
---|---|
Entity Type | Organization |
Authorized Contact | SID KAMRAVA Medical Director 818-783-5058 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP36955) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2008-05-22 |