| 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 |