| NPI | 1275030009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEADA PAKOUR President 818-913-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a76745) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA a76745) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |