| NPI | 1790999365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI GUNNELL Manager 818-848-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G73332) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |