| NPI | 1164815965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMTIN MASSOUDI Doctor 310-855-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 52361) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |