NPI | 1134736705 |
---|---|
Entity Type | Organization |
Authorized Contact | GLADWIN GILL CEO 818-262-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QH0100X Clinic/Center, Health Services | |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2021-12-10 |