NPI | 1003004268 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER IRAJ ZAMANIAN President 714-368-0696 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A42243) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2007-10-11 |