| NPI | 1538558226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE HIDALGO Nurse Practitioner 818-435-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA MH1988128) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |