| NPI | 1629218755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY S JELEN CEO 818-300-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A35493) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-03 |