| NPI | 1891522850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD IRVING JACOBY Medical Director 626-260-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |