| NPI | 1922432269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIELS TORSTEN GRAYBILL Physian/Owner 818-842-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A67072) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |