| NPI | 1023026143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE S. FEIT President 818-843-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G32804) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-11-21 |