| NPI | 1538544010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRZAD FORAT Owner 818-645-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |