| NPI | 1013024876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MARTINEZ Billing/Credentialing 818-908-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A81752) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-06-21 |