| NPI | 1043850662 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | PETROS HAJIAN Administrator/Executive Director 818-267-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2021-12-09 |