| NPI | 1487800645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADAYAPPA DURAIRAJ Predident 818-504-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-08 |