| NPI | 1245655315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM KOSSARI President 818-365-1616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A68579) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A68579) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2017-12-21 |