| NPI | 1396510087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRZAD FORAT Nurse Practitioner 818-645-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2025-07-10 |