| NPI | 1497560858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS BUAN Owner 310-808-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-13 |