| NPI | 1750307278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN JACOBS Physician 818-840-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G62813) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-07-07 |