| NPI | 1174624944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VAISMAN President CEO 818-506-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A38899) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A38899) |
| 2085N0700X | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 2278P1004X Respiratory Therapist, Certified, Pulmonary Diagnostics | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-09-22 |