| NPI | 1255426383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA BARTE MASONGSONG Vice President 818-388-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A70428) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-12-19 |