| NPI | 1699926485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E FISHMAN President/Medical Director 818-808-2828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA FNP24261) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2025-11-14 |