| NPI | 1457598385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LEVISTE Medical Director 818-783-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A39016) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |