| NPI | 1518218379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HARTLEROAD Doctor 818-988-9825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G74901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G74901) |
| 208D00000X General Practice (Licence: CA G74901) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |