| NPI | 1336259118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBAMBO OSIBAMIRO-SEDUN President 818-997-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-13 |