| NPI | 1407557408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SUSAN MELLO Office Manager/Corporate Secretary 818-790-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-05-01 |