| NPI | 1578839163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. JEFFREY TAYLOR President & COO 818-766-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2016-04-22 |