| NPI | 1609813096 |
|---|---|
| Former Legal Business Name | MEDWISE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHALIMAN EIVAZZADEH Owner 818-242-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A42072) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |