| 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 |