| NPI | 1801257860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENNYWATI SALIM Nurse Practitioner 818-967-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 95003940) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |