| NPI | 1992955462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONIT GOLDSTEIN Vice President 818-279-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA 197605696) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: CA 197605696) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |