| NPI | 1386802056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE T GIPE President & General Partner 818-509-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G42382) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |