| NPI | 1447640149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASSOUD S AMINI Medical Director 323-587-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 95001498) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-04 |