| NPI | 1255366712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A GLASSMAN Vice President Of Corporation 818-784-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |