| NPI | 1740572395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH GAMBLE President 818-985-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A76121) |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2024-08-09 |