| NPI | 1043582083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVORK BOULDOUKIAN Owner 661-633-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A55931) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |