| NPI | 1386034205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA B MARTINEZ Provider Entollment 818-340-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |