| NPI | 1811319635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHI E NASSOURA Co President 818-345-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2024-08-12 |