NPI | 1548338429 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE A JACOBSON Owner 818-347-3239 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A43500) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-08-31 |