| NPI | 1356747802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN B MOUSAVI Owner/Provider 818-625-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A131983) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |