| NPI | 1467159715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE OSTROVSKY President 818-275-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2081H0002X |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |