| NPI | 1356543052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMADRI M PATEL President 818-775-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A7494) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |