| NPI | 1073399804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHEH SHIRVANIAN Md 818-624-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-12-01 |