| NPI | 1659701787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD SOUFERZADEH General Partner/Provider 310-702-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12379) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |