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 |