| NPI | 1588970917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYND E HICKS-WALKER Owner 818-300-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A062356) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |