NPI | 1003040478 |
---|---|
Entity Type | Organization |
Authorized Contact | MONA TABIB President 818-789-7893 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA A40287) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2020-05-18 |