| NPI | 1164098729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELINA FARMANOVA Owner 818-697-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |