| NPI | 1770851776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTYNE DANYELL Msn, Fnp, President 818-240-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2023-11-06 |