| NPI | 1235743881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMINE TADEVOSYAN Owner 818-533-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-10-15 |