| NPI | 1144196353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA POLADYAN COO 818-630-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |