| NPI | 1609345511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA FISHMAN Administrator 818-808-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208D00000X General Practice | |
| 208VP0000X | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |