| NPI | 1457768731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVLYN AVANESSIAN Md 818-352-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA A127456) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-10-10 |