| NPI | 1790869113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEO TSOLAKOGLOU-WILLIAMS President 626-449-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A52191) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |