| NPI | 1821818840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEQUIEL SUAREZ CEO 818-398-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208VP0000X | |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251V00000X Voluntary or Charitable | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 314000000X Skilled Nursing Facility | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-05-13 |