| NPI | 1194538264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GOBRIAL President 818-667-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |