| 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 |