| NPI | 1912723032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SENELLA President/ Chief Executive Officer 818-654-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |