| NPI | 1295332823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE OSTROVSKY President 818-483-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |