| NPI | 1174019368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY T MIZUHARA-CHENG President 818-661-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A10710) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |