| NPI | 1750265245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY C PRINCE CEO/Medical Director 818-698-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |