| 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 |