| NPI | 1043924350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS D. GONZAGA Administrator 818-648-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |