| NPI | 1295305092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHA REGHUNATHAN CEO 818-634-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |