| 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 |