| NPI | 1780964965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM KOSSARI President/ Owner 818-365-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA a68579) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2017-12-20 |