| NPI | 1013136035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA L HERNANADEZ Office Manager 818-241-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: CA A40040) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |