| NPI | 1871995357 |
|---|---|
| Former Legal Business Name | NONE APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | JASON CARAMANIS Owner 818-512-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |