NPI | 1285737353 |
---|---|
Entity Type | Organization |
Authorized Contact | AFSHIN SHAWN VIESEH President 310-208-0708 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA G74878) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2012-04-18 |