| NPI | 1285061135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA TABIB President 818-317-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A104733) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: CA A104733) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A104733) | |
| 207U00000X Nuclear Medicine (Licence: CA A104733) | |
| 208D00000X General Practice (Licence: CA A104733) | |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |