| NPI | 1881083731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HAAS Owner 818-848-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A252427) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |