| NPI | 1184198442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA SEROBIAN Secretary 818-805-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |