| NPI | 1396141602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUZEF GUROVICH Medical Director 818-763-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95001368) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |