| NPI | 1588957047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL BLINCHIK Md, President 818-808-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A96997) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |