| NPI | 1457859407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAIL Medical Director 818-277-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A142997) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2025-06-10 |