| NPI | 1215993167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR S HOGEN President Owner 818-886-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A13117) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |