NPI | 1356929558 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNARD MCNAMARA CEO 818-244-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
363LA2100X Nurse Practitioner, Acute Care | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2022-09-26 |