| NPI | 1427720309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN SOUREHNISSANI President 213-328-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |