| NPI | 1518587815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIKOR H MANOUKIAN Medical Director 818-427-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-06-18 |