NPI | 1487169660 |
---|---|
Doing Business As | TMD |
Entity Type | Organization |
Authorized Contact | MICHELLE S GOLUB CEO 818-945-6003 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2017-12-09 |
Last Update Date | 2020-04-08 |