| NPI | 1053855486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRTI SOPAN TALOLE Physician/Owner 818-852-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C132757) |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2016-12-04 |