| NPI | 1992194187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN QUIRK President 818-926-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA A102046) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A102046) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |