| NPI | 1467979179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERGINE PILIPOSYAN CEO 323-597-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |