| NPI | 1649582826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHMAN OMRANI President 818-988-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: CA 20A9465) |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 174400000X Specialist | |
| 207R00000X Internal Medicine (Licence: CA 20A9465) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2020-02-20 |