| NPI | 1790967404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGU NATHAN Manager 818-671-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A053595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A053595) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |