NPI | 1790242758 |
---|---|
Entity Type | Organization |
Authorized Contact | LUSINE APIKYAN President 818-696-2156 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-02-26 |
Last Update Date | 2019-02-26 |