| NPI | 1104171768 |
|---|---|
| Doing Business As | MY NEW LIFE |
| Entity Type | Organization |
| Authorized Contact | FOOJAN ZEINE Owner 818-648-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 190724AP) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |