NPI | 1871892505 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN H. HESS CEO/President 818-753-7120 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208M00000X Hospitalist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-03-21 |
Last Update Date | 2020-10-30 |