| NPI | 1649348020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD RAHIM SHAPOORY Dirctor 323-980-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A28518) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |