| NPI | 1033090592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMRA VAZIRIAN Physician 310-502-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |