| NPI | 1407395734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA YARASHEVICH Np/Vice President 818-322-7536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001399) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-05-04 |