| NPI | 1790834612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ H BERJIS Medical Director 818-995-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 975-4776372) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 9300946) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-06-10 |