| NPI | 1003284597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARA TEPELEKIAN Administrator 818-700-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8134) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA DC27178) |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2022-09-23 |