| NPI | 1114156809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMAYOUN POURSHIRAZI Doctor 951-304-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 44064) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2011-08-25 |