| NPI | 1548652266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUSHAN YEGOYAN CEO 323-724-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |