| NPI | 1083705081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE GRANILLO Office Manager 818-956-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A24092) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |