NPI | 1548535289 |
---|---|
Entity Type | Organization |
Authorized Contact | GAGIK GREG HAROUTUNIAN President 310-282-9910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA C54033) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA C54033) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-13 |