| NPI | 1386878999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAVASH SOBHANI President 703-716-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101050949) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |