| NPI | 1194142778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY IDOKO CEO 818-465-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |