| NPI | 1528729142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX YARIJANIAN President 855-770-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 251T00000X PACE Provider Organization | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |