| NPI | 1417076845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARAM KEUSAYAN Owner 3237-711-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA14033) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |