| NPI | 1104216308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D COLEMAN Vice President 818-261-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G77858) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |