| NPI | 1780293472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE TCHAMANIAN COO Prime Mso 818-937-9968 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |