| NPI | 1801915327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIS ELIE Director 818-242-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A38702) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 1924) |
| 207R00000X Internal Medicine (Licence: CA A64420) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-09-11 |