| NPI | 1285875971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE ELYSE REID Owner/Medical Director 818-209-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A100360) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |