| NPI | 1407164221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON S KREMSKY President 818-768-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA G47581) |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-15 |