| NPI | 1386214344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND K PETROSSIAN Partner 818-800-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-06-13 |