| NPI | 1518465665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOZHGAN ASHTARI CEO/ Md 551-206-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A111582) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |