| 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 |