NPI | 1023208212 |
---|---|
Entity Type | Organization |
Authorized Contact | VARUZHAN MOVSESYAN Principal Officer 818-458-2587 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: AZ 4681) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2007-07-25 |