| NPI | 1669513495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD H RASEKHI Medical Director 818-203-5561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A48861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A51813) |
| 207QA0505X Family Medicine Adult Medicine (Licence: CA A48861) | |
| 207R00000X Internal Medicine (Licence: CA A48861) | |
| 207R00000X Internal Medicine (Licence: CA A51813) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA A53663) | |
| 208600000X Surgery (Licence: CA A38055) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-04-14 |