NPI | 1093128688 |
---|---|
Entity Type | Organization |
Authorized Contact | PEYMAN BANOONI Medical Director 323-588-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A75080) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A75080) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-13 |