| NPI | 1154172112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH KARANDISH Medical Director/CEO 747-265-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |