| NPI | 1811289317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S GAMBOL President 818-709-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CA G67090) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2018-06-20 |