| NPI | 1467609917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN AYRIYAN President 818-551-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |