| NPI | 1336693894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERI ANTOSSYAN Owner/Provider 818-551-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13819) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2017-01-23 |