NPI | 1578205795 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE AYVAZYAN Physician Assistant 818-723-8804 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2022-04-08 |
Last Update Date | 2022-04-23 |