| NPI | 1215962063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI KHORSANDI Owner 818-500-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A52802) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-09-14 |