| NPI | 1558540294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MADIEVSKY President 818-996-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A65040) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2010-11-09 |