| NPI | 1912922741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY GALE WALKER Owner 818-247-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 24085532) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-06-24 |