| 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 |