| NPI | 1356226690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BIRNBAUM Owner 661-406-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-10-09 |