| NPI | 1669783122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHAN MADATOVIAN President/Owner 818-756-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-12-16 |