NPI | 1689978850 |
---|---|
Doing Business As | 7TH STREET MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | PEYMAN BANOONI Owner 310-625-4643 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |