| NPI | 1740958099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIRA JAVAHERIFAR Vice President 818-321-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-12-30 |