| NPI | 1205831583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY TANOUYE President 818-996-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 291U00000X Clinical Medical Laboratory (Licence: CA CLF298) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-07-21 |