| NPI | 1801161047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARA A POLADIAN Medical Director 818-763-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A40162) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-04-11 |