| NPI | 1407157878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFYA BAKHTAMYAN Office Manager 818-550-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G61143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G61143) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2011-03-22 |