| NPI | 1760210173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHRA MAY KATO Owner 818-633-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-09-11 |