| 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 |