| NPI | 1750424321 |
|---|---|
| Other Name | PACIFIC CLINICS ON LAKE OP |
| Entity Type | Organization |
| Authorized Contact | JAMES J. BALLA President & Chief Executive Officer 626-254-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-08-17 |