| NPI | 1093512360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBETH FLORESTA MCKINNEY Nurse Practitioner 818-745-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |