| NPI | 1679647655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE POURMOUSSA Billing Manager 818-774-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-07-21 |