| NPI | 1508017336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYMAN SIMONI Md 310-360-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A94347) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2020-04-02 |