| NPI | 1831931146 |
|---|---|
| Other Name | NO OTHER NAME |
| Entity Type | Organization |
| Authorized Contact | JENY HERNANDEZ Chief Executive Officer 818-389-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |