| 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 |