| NPI | 1316551617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHANT A RAO President 818-281-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 363L00000X Nurse Practitioner | |
| 174200000X Meals | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-12-21 |