| NPI | 1104008820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HOSSEIN MOLAIY Owner/President 703-465-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101232384) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2012-04-03 |