NPI | 1750771077 |
---|---|
Entity Type | Organization |
Authorized Contact | PEJMAN E. SHIRAZY President/Medical Director 818-789-3964 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A76100) |
Enumeration Date | 2015-01-24 |
Last Update Date | 2022-07-21 |