| NPI | 1801805874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAWRENCE WULFSBERG Vice President Treasurer 818-990-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2010-02-04 |