| NPI | 1639400260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOROUSH ADAM RAMIN President 818-760-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A82603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A33650) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A41783) | |
| 208000000X Pediatrics (Licence: CA A42806) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A60294) | |
| 208800000X Urology (Licence: CA A60294) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |