| NPI | 1992717367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELITO PONCE BABARAN Medical Director 818-708-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A51480) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-09-06 |