| NPI | 1528114691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTYE OLMACK Billing Office 818-879-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |