| NPI | 1255656450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER S. SIPORIN Owner 818-884-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A29048) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A29048) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-08-06 |