| 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 |