| NPI | 1689492753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KEGEYAN Owner 818-643-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |