| 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 |