| NPI | 1689120586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM SEDDIGH TONEKABONI President 818-274-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A118665) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2017-02-02 |