| NPI | 1740524552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BARDOWELL President 818-843-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A41037) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2023-08-09 |