| NPI | 1477306405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA POLADYAN COO 818-630-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 213E00000X Podiatrist | |
| 208000000X Pediatrics | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2025-12-12 |