| NPI | 1568311975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ALARAS Practice Owner 818-633-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |