NPI | 1386323038 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRISON HASANUDDIN President 626-763-1899 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QB0002X Family Medicine, Bariatric Medicine | |
Enumeration Date | 2023-07-11 |
Last Update Date | 2025-06-22 |