| NPI | 1023996618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GRAND CFO 818-521-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |