| NPI | 1932501087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARINA STEWART CEO 818-832-2087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 42614) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |