| NPI | 1801999776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHAD MALEKMEHR President 310-709-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA G83840) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-04-13 |