| NPI | 1679166623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADRA NOURPARVAR Owner 323-207-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |