| NPI | 1518160530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH GAMBLE C.E.O. 818-786-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA W20244) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A76121) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-12-12 |