NPI | 1245549443 |
---|---|
Entity Type | Organization |
Authorized Contact | VIGEN VICK ABOVIAN Medical Director/President 818-588-8178 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A106757) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2014-02-07 |