| NPI | 1467644310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE MOGHISSI President 703-281-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101044043) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2009-08-03 |