| NPI | 1790817039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERACH YADEGARIAN President 818-240-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2009-09-09 |