| NPI | 1689214611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA MARIA MARSHALL Practice Manager 818-629-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |