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 |