| NPI | 1336663483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY EVAN SHERMAN Owner 818-522-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95002122) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC22853) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |