NPI | 1912158312 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL E GROSZ President 818-386-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A49772) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2009-06-26 |