| NPI | 1306038062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBA JAVAHERIAN Doctor 818-217-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-08-14 |