NPI | 1811497035 |
---|---|
Entity Type | Organization |
Authorized Contact | PEYMAN BANOONI Medical Director 310-625-4643 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A75080) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-02-14 |
Last Update Date | 2018-02-14 |