| NPI | 1609362227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORIO L DE GRANO CEO 818-516-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-12-27 |