| NPI | 1023757242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HUBBARD Owner/ Medical Director 818-208-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-04 |