| NPI | 1487913810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYRUS FERIDOUNI President 818-744-4369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A97912) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A92103) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-10-22 |