NPI | 1568133908 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN ST AUBIN Provider Enrollment 818-340-0265 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208M00000X Hospitalist |
Enumeration Date | 2021-09-24 |
Last Update Date | 2021-09-24 |