| NPI | 1376859694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN S GUALBERTO President/CEO 818-387-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A32356) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |