| NPI | 1053296301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AAMIR RAZA Practice Owner 323-763-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-09-25 |