| NPI | 1073486361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL LALA Owner 818-444-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |