| NPI | 1326922170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VAN NOLL Director, Billing 818-321-4374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |