| NPI | 1982946323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PARK CEO/Physician 818-678-9875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-04-09 |