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 |