| NPI | 1679801377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOOSSA HEIKALI Owner/Medical Director 818-708-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: CA A40559) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207T00000X Neurological Surgery (Licence: CA A40559) | |
| 2085N0700X Radiology Neuroradiology (Licence: CA A40559) | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 208D00000X General Practice (Licence: CA A40559) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |