| NPI | 1932816295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PARK Owner 818-835-9039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |