| NPI | 1982723276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNEY PENUELA Administrator General Manager 818-367-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G53079) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |