| NPI | 1063947638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GAMPEL Manager 818-880-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2018-07-11 |