| NPI | 1265811293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA GHARACHE CEO 818-216-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G50570) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 1841445020) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |