| NPI | 1821481482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEVORG MUTAFYAN Managing Member/Owner. 818-424-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |