| NPI | 1790956308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM TABIBIAN Medical Director 818-708-6163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-03-22 |
| Last Update Date | 2017-09-26 |