| NPI | 1245857747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM SHAN HASHEMIZADEH Owner 818-620-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |