NPI | 1104108802 |
---|---|
Entity Type | Organization |
Authorized Contact | ARMAN OSSIA President 818-845-2491 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A104763) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2011-09-19 |
Last Update Date | 2011-09-19 |