| NPI | 1629838842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GHALCHI CEO 818-613-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-09-03 |