| NPI | 1003846486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOHN GIAQUINTO President 818-421-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A51621) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |