| NPI | 1326598723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCHWIEGER Partner 818-757-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 53510) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |