| NPI | 1255572590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM KOSSARI Owner 818-365-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A68579) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A685790) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2017-12-20 |