| NPI | 1700898269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAKHRIRAN GHAHARI Medical Director 818-845-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-09-10 |