| NPI | 1336365576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOVIK SIMITYAN Office Manager 323-664-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G36895) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G36895) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-03-12 |