| NPI | 1891367694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM S HASAN CEO 818-696-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |