| NPI | 1326383183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID NASSIM President 818-343-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A42975) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A42975) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |