| NPI | 1487110797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM SHAN HASHEMIZADEH Owner 818-624-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |