| NPI | 1568992493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON JEAN BERKEY Medical Director 818-836-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA g077666) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |