| NPI | 1912223819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN FARSHAD KOHAN Owner / President 818-788-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |