| NPI | 1972694180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANUEL GONZALEZ-DIAZ Owner 818-346-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A41311) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-05-21 |