| NPI | 1003218231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROUZ B. DARDASHTI Owner 818-888-3903 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A35233) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |