| NPI | 1720218829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARTYOUN I YOUSIF Medical Director 818-548-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A040779) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: CA 9922) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2016-05-19 |