NPI | 1528100336 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMAD RASEKHI Medical Director 818-203-5561 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207V00000X Obstetrics & Gynecology | |
208600000X Surgery | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2018-09-04 |