| NPI | 1831264092 |
|---|---|
| Other Name | EISENBERG VILLAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANCY AUTOLINO Director Of Ar 818-757-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA 960000928) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-07-02 |