NPI | 1467467951 |
---|---|
Entity Type | Organization |
Authorized Contact | MASOUD BAMDAD Medical Director 818-898-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A51598) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2020-08-22 |