| NPI | 1508188913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK HOOMAN MASHOUR President 888-380-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A72007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 301026) |
| 163W00000X Registered Nurse (Licence: CA 493968) | |
| 207X00000X Orthopaedic Surgery (Licence: CA G83471) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A25405) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A24640) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A61974) | |
| 363A00000X Physician Assistant (Licence: CA PA18539) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2012-02-08 |