| NPI | 1154386209 |
|---|---|
| Other Name | NORTH GLENDALE OFFICE |
| Entity Type | Organization |
| Authorized Contact | FLORA POLADYAN COO 323-454-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-08-17 |