| NPI | 1770906117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J LEBERTHON President 626-373-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QX0200X Clinic/Center, Oncology (Licence: CA G79934) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2021-10-27 |