| NPI | 1871653444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARRY SCHENKEL President 818-348-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A35586) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |