| NPI | 1588246078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT DEBANTO Physician/Owner 818-659-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |