| NPI | 1760807127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA MICHELLE ALTIS-PARKHURST Administrative Director 818-863-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |