| NPI | 1578610200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL A CALDRON CEO 818-509-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 0002055855-0001-2) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |