| NPI | 1780553503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHILIAN Practice Owner 818-620-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |