| 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 |