| NPI | 1073660353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULBENK SHIRVANIAN President 818-500-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E2979) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E2857) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-01-07 |