| NPI | 1578517033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI ADIBI Sole Owner 818-808-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-03-28 |