| NPI | 1124519251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA OBBEHAT President & Medical Director 866-657-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-07-03 |