| NPI | 1831926757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL RAYES Attorney 818-321-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-17 |