| NPI | 1275784324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E FISHMAN President/Medical Director 818-808-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA FNP24261) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2015-08-27 |