| NPI | 1396762100 |
|---|---|
| Other Name | TOLUCA LAKE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SETH ELLIS VP Chief Operating Officer 818-876-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-02-08 |