NPI | 1881143691 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCY TERZIAN Administrator 818-551-0088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 45529) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2016-09-22 |