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 |