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 | 2008-10-10 |