| NPI | 1578647269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORIO DE GRANO Practice Owner 818-516-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C41127) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-10-25 |