| NPI | 1871931741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SIMBULAN CEO 818-224-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA C3565047) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2016-06-19 |