| NPI | 1770090433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYIRI ZETLIAN KETCHEDJIAN Nurse Practitioner 626-399-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |