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 |