| NPI | 1972649804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LYNCH Administrator 818-784-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000931) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-12-04 |