| NPI | 1740142454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSS SAPON CEO 818-997-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 207Q00000X Family Medicine | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2026-06-29 |