| NPI | 1780989384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRIAR GHODSIAN Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA A72696) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A72696) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO A72696) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |