| NPI | 1952625303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DEBNATH Md 818-545-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A41650) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A41650) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2021-11-04 |