| NPI | 1982741914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. ARENDS President / CEO 818-845-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA 20A8430) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-01-20 |